银屑病合并糖代谢紊乱中医病机解析

Interpretation of traditional Chinese medicine pathogenesis of psoriasis complicated with glucose metabolism disorder

银屑病合并糖代谢紊乱(与2型糖尿病共病)其病位在"血",病性为"血瘀"与"瘀热";就脏腑理论而言,病性实为本虚标实,脾肾不足、肝失调达为本,痰、湿、瘀互结为标。治疗方面凉血与散瘀配伍使用是关键,同时在血分论治这一核心诊疗体系基础上辨虚实,脏腑失调明显时加脏腑辨证,病理产物明显时辨痰、湿、瘀来源。这一认识丰富和发展了银屑病共病中医理论体系。

The location of psoriasis complicated with glucose metabolism disorder (type 2 diabetes) is in "blood system".And the pathogenesis of which is "blood-stasis" and "stasis-heat".As far as the theory of viscera is concerned,the comorbidity is deficiency Ben and excessive Biao in Chinese medicine.Spleen and kidney deficiency,liver dysregulation is the Ben,and the intertwine of phlegm,dampness and blood stasis is the Biao.Combination of cooling blood and dispersing stasis is the main treatment principle.Meanwhile,distinguish between deficiency and reality is need:combining with the viscera syndrome when the visceral dysfunction is obvious,identifying the source of phlegm,dampness and blood stasis when the pathological product is obvious.This understanding enriches and develops the theoretical system of Chinese medicine for psoriatic comorbidity.